Search ▸ Agenda item attachment
An application was received from CAVA, requesting permission for 4 banners at the premises numbered 88 Ames Street Approval has been received from Inspectional Services, Department of Public Works, Community Development Department and abutter
⚠ This document is a scan; its text was recovered by optical character recognition and may contain errors. The original PDF is authoritative.
Location
Sign Permit
Applicant
88 Ames St
§ Heather Dudiko
22670
1. [phone removed] ext.
Cambridge, MA 02142
@: [email removed]
General Information
Description of Proposed Work
PER CAMBRIDGE REDEVELOPMENT AUTHORITY (CRA) APPROVAL, INSTALL:
TWO (2) BANNERS AND ONE (1) WINDOW SIGN ON AMES STREET ELEVATION
TWO (2) BANNERS AND ONE (1) WINDOW SIGN ON MAIN STREET ELEVATION.
BANNERS: 7 SQ FT EACH, NON ILLUMINATED
WINDOW SIGNS: 11 SQ FT EACH, INTERNALLY ILLUMINATED
Estimated Cost of Sign(s) in dollars
6000
Describe any existing signs that will remain (including the size of the remaining signs).
NO EXISTING SIGNS
Cambridge City Council approval may be required.
Will one or more of the proposed signs extend six (6)
inches into the public sidewalk?
Yes
Sign information
Sign Material
Sign Text
CAVA
SUNBRELLA
Height from the ground to bottom of the sign (feet)
Weight of the sign (Ibs)
7
20
Projection from the Building (inches)
Height from the ground to the top of the sign (feet)
13
18
Width of Building Facade for Associated Use (feet)
Area of Sign (square feet)
7
39
Height of Sign (feet)
Type of Sign
Projecting
Width of Sign (feet)
Illumination
1
Natural
Is the sign an accessory to a first floor store?
Yes
Sign Material
Projection from the Building (inches)
ALUMINUM/ACRYLIC
Width of Building Facade for Associated Use (feet)
Sign Text
39
CAVA
Weight of the sign (Ibs)
Height from the ground to bottom of the sign (feet)
10
50
Height from the ground to the top of the sign (feet)
Area of Sign (square feet)
11
12
Illumination
Is the sign an accessory to a first floor store?
Internal
Yes
Width of Sign (feet)
Type of Sign
Wall-Mounted
5.5
Height of Sign (feet)
2
Contractor
Contractor Name
KEVIN M OCONNELL
Address
145 CANTERBURY DRIVE
LUNENBUJRG, MA 01462
Telephone
E-mail
[phone removed]
[email removed]
License Number
License Expiration Date
CS-081706
10/23/2019
Contractor's Signature
Signature of Licensed Contractor
Date
RUSSELL HASSMANN
10/03/2018
Community Development Approval
Sign conforms to requirements of Article 7.000
Sign requires a variance from the Board of Zoning
Appeal
-
Comments
Exempt under Article 7.000
City Clerk Internal
Bond Number
SIGN LEGEND
CAVA
codes. This includes proper grounding and bonding of the sign.
This sign is intended to be installed in accordance with the requirements of
Article 600 of the current National Electrical Code and/or other applicable local
-7-11
3131 Pennsy Drive, Landover, MD 20785 / phone [phone removed] / fax [phone removed]
JackStoneSigns JACKSTONESIGNS.COM
A.F.F.
ADDRESS
CA VÀ
A.E.E.
Cambridge
CA
CUSTOMER CAV Mezze Grill
00
88 Ames Street, Suite #0124
FILE NAME CAVA_Kendall Square MA (PKG2)
DATE
EXTERIOR ELEVATION ENTRANCE
SCALE: 3/32" = 1'
DWG. NO. 7471
DESIGNER HOTZ
NOTED
07/16/18
CONTACT Justin Wyman
39'978",
091818-SGH-UPDATED
SCALE: 3/32" = 1'
STOREFRONT ELEVATION
(BANNER)
TRIMLESS FACE LIT LETTERS
D/F BLADE SIGN C
-718
SUSPENDED INTERIOR B
(BANNER)
D/F BLADE SIGN A
Ames
- 39-9718"
ST
D/F BLÁDE SIGN (BANNER)
OPTION 2
SUSPENDED INTERIOR
TRIMLESS FACE LIT LETTERS
88 Ames It
storepent Ames ST
-B)F
2 32'-5 1/8°
MAIN ST a 32'
EXTERIOR ELEVATION ENTRANCE
SCALE: 3/32" = 1'
SCALE: 3/32" = 1'
CONSTRUCTION FLOOR PLAN
1/8"
2'
-3"
MAINsT Strefor
FID/F BLADE SIGN (BANNER)
SIGNATURE AND DATE
CUSTOMER APPROVAL (PLEASE PRINT FULL NAME)
CONSTRUCTION FLOOR PLAN
SIGN IS WIRED FOR 120 VOLTS UNLESS OTHERWISE SPECIFIED
SIGN ELEVATION
QTY: (1) SET SF: 10.92
codes. This includes proper grounding and bonding of the sign.
5-5 3/8"
This sign is intended to be installed in accordance with the requirements of
Article 600 of the current National Electrical Code and/or other applicable local
DETAIL
JackStoneSigns JACKSTONESIGNS.COM
3131 Pennsy Drive, Landover, MD 20785 / phone [phone removed] / fax [phone removed]
SCALE: 3/4" = 1'-0"
STATE
(NTS)
Cambridge
CAVA
CUSTOMER CAV Mezze Gril
3"
88 Ames Street, Suite #0124
FILE NAME CAVA_Kendall Square MA (PKG2)
SIGN ELEVATION
DWG. NO. 7471
DESIGNER HOTZ
NUI CU
07/16/18
QTY: (1) SET SF: 10.92
2'-11 1/4"
CONTACT Justin Wyman
REVISIONS
D. WHITE TADPOLE LEDS
SCALE: 3/4" = 1-0"
W/ CHEMICALLY WELDED CORNERS
2'-11 1/4" -
G. 1"X 1" ALUM. S/S TUBES PTD. BLACK
H. WIRING IN LIQUATITE TO ELEC. CIRCUIT
F. C/S SCREWS AROUND PERIMETER AS REQ'D
J. 3"x3"x.080 ALUM. W/ REMOVEABLE DOOR -
POWER SOURCE IN METAL VAULT PTD. BLACK
A. .080 ALUM. CNL. LTR. W/ FLANGE PTD. BLACK
CA VA
K. ALL THREAD WELDED TO TOP OF 3"x 3" METAL VAULT
B. 1/8" THK. FABRICATED WHITE ACRYLIC LETTERS & RETURNS
E. LETTER INTERIOR PTD. W/ WHITE LIGHT ENHANCING PAINT
C. "V" ONLY: 1ST SURE TRANSL. DIG. PRINT ON FACE IN PMS 137
SECTION
2½" illuminates
REQUIRED ELECTRICAL SERVICE TO SIGN LOCATION IS TO BE PROVIDED BY OTHERS
SIGNATURE AND DATE
CUSTOMER APPROVAL (PLEASE PRINT FULL NAME)
TRIMLESS - FACE-LIT- CHANNEL LETTERS
SIGN IS WIRED FOR 120 VOLTS UNLESS OTHERWISE SPECIFIED
- 6'-0"
DIF
A C
SIDE A
1'-6"
SCALE
- 1'-2"
QTY: (4)
3/4=1-0"
codes. This includes proper grounding and bonding of the sign.
SIDE B
This sign is intended to be installed in accordance with the requirements of
Article 600 of the current National Electrical Code and/or other applicable local
3131 Pennsy Drive, Landover, MD 20785 / phone [phone removed] / fax [phone removed]
JackStoneSigns JACKSTONESIGNS.COM
CITY
SIATE
Cambridge
CUSTOMER CAV Mezze Grill
1/4" 4"x4" BASE PLATES
88 Ames Street, Suite #0124
"C" "A" "A" TO BE PAINTED WHITE
INSTALL ON PAINTED ALUMINUM -
FILE NAME CAVA_Kendall Square MA (PKG2)
BANNER ARMS. APPROX. 3" DIAMETER
SCALE
"V" & STRIPES TO BE PAINTED PMS 137 YELLOW
SIGN IS WIRED FOR 120 VOLTS UNLESS OTHERWISE SPECIFIED
BLACK SUNBRELLA FABRIC POLE POCKET BANNER-
SEWN-IN POLE POCKETS TOP & BOTTOM (as req'd)
DWG. NO. 7471
DESIGNER HOTZ
NOTED
07/16/18
CONTACT Justin Wyman
solid concrete embedment.
Engineers Connection Note:
SIDE VIEW
REVISIONS
- Projection arms to be Min. 1/8" wall Alum.
Install wall mounting plates to existing concrete column using
Four(4) 3/8" Diam. Hilti Kwik Bolt 3 expansion anchors per/plate,
Two(20 Top and Bottom, @ Min. 3" O.C. each way into a Min 2 1/2"
LEVEL 1
21-0"
LEVEL O
- BLADE SIGN
WALL SECTION - COLUMN
SCALE: 3/16" = 1'
0.9=
ROUND COLUMN COVER
suSt FaCOr
vita Loade
Thermal Factor
HOw LookE
REQUIRED ELECTRICAL SERVICE TO SIGN LOCATION IS TO BE PROVLOED BY OTHERI
Ma Budding Coda (Pth Edition)
timate Design Wind Speed
rest cable provisions of the ASCE 7-30
Designed Per IBC 2015 MA LIOn
0 ps
128 mph
Exp 6/30/2020
SIGNATURE AND DATE
OwEn o011
OR PELIC. 99/00
2 HUMMINGBIRD CT
VIVIL
JERE K.
No. 49706
MURDOCH
REGISTERE
CONNECTION TALE I SN
MURDOCH
ENGINFERING
PN 1819136
CUSTOMER APPROVAL (PLEASE PRINT FULL NAME)
D/F FACE BANNER
Due Much 0212010
OFFICE OF THE CITY CLERK
CAMBRIDGE CITY HALI., 795 MASSACHUSETTS AVENUE
CAMBRIDGE, MASSACHUSETTS 02139
PHONE [phone removed]
FAX [phone removed]
DONNA P. LOPEZ
PAULA M. CRANE
CITY CLERK
DEPUTY CITY CLERK
10-25
Cambridge,
- 2018
To the Honorable, the City Council of the City of Cambridge:
EACH PETITION MUST BE ACCOMPANIED BY A DRAWING OF PROPOSED SIGN, INDICATING DESIGN AND
DIMENSIONS AND LOCATION ON PREMISES.
The undersigned respectfully prays that Cava Mezze Grill
(NAME OF BUSINESS
be granted permit to erect a sign of the following specifications in front of premises located at
88 Ames St @ Pioneer Way
(ADDRESS)
Type of Sign: Projecting banners (4) double sided, sunbrella material, non-illuminated.,
(state whether electric or otherwise and material used in construction)
Reading matter to go on Sign:
Cava
6'x 1'2"
Size:
Weight: 20lbs
Public Way
1'6"
Obstruction:
A.
7'77/8"
B.
(Give exact distance sign is to extend over sidewalk)
(Also exact distance from bottom of sign to sidewalk)
7'77/8"
Height Above Grade: Bottom:
13'7 7/8"
Top:
NOTICE - REGULATIONS
[Section 12.08.010 Municipal Code - Encroachments onto Streets]
Section 1212.0 State Building Code - Projecting Signs]
• A projecting sign shall be constructed wholly of incombustible materials.
• All signs must meet requirements of Zoning Ordinances and Building Code.
• Note: Section 12.12.220 provides in part "every owner who maintains a ... structure in or over a street... shall do so only on
the condition that such maintenance shall be considered as an agreement on his part to keep the same and the covers thereof in
good repair and condition, at all times during his ownership, and to indemnify and save harmless the City against any and all
damages, cost or expenses which it may sustain, or be required to pay by reason of such.. structure."
PROPERTY OWNER OR AUTHORIZED AGENT HEREBY STATES THAT INFORMATION IS TRUE TO THE BEST OF HIS/HER
KNOWLEDGE AND UNDERSTANDING UNDER PAINS AND PENALTY OF PERJURY.
Keir Evans
800 Boylston St Suite 1900 Bos MA [phone removed]
(Property owner or authorized agent)
(Address)
(Tel. No.)
Ryan Badger
702 H Street NW, Second Floor, Washington DC
(Business owner)
(Address)
(Tel. No.)
SIGN LEGEND
CAVA
codes. This includes proper grounding and bonding of the sign.
This sign is intended to be installed in accordance with the requirements of
Article 600 of the current National Electrical Code and/or other applicable local
3131 Pennsy Drive, Landover, MD 20785 / phone [phone removed] / fax [phone removed]
JackStoneSigns JACKSTONESIGNS.COM
STATE
ADDRESS
10'
- L
Cambridge
A, C,
USTOMER CAV MeZze GAll
CA
VA
00
88 Ames Street, Suite #0124
FILE NAME CAVA_Kendall Square MA (PKG2)
four Projecting
EXTERIOR ELEVATION ENTRANCE
OWG. NO. 19/1
SCALE: 3/32" = 1'
DESIGNER HOTZ
NOTED
07/16/18
Banners
CONTACT Justin Wyman
091818-SGH-UPDATED
STOREFRONT ELEVATION
SCALE: 3/32" = 1'
(BANNER)
TRIMLESS FACE LIT LETTERS
D/F BLADE SIGN C
SUSPENDED INTERIOR B
298021
(BANNER) '
DISADES
1/8"
10'-5
F.
A.F.
Ames
300, 18-
D/F BLADE SIGN (BANNER)
OPTION 2
88 Ames It
39'978" storepont Ames ST
SUSPENDED INTERIOR
SIDE
TRIMLESS FACE LIT LETTERS EJ
Lu
A
© 32'-5 1/8*
32
EXTERIOR ELEVATION ENTRANCE
SCALE: 3/32" = 1'
1 F/OPTION 2
SCALE: 3/32* = 1
CONSTRUCTION FLOOR PLAN
5'8"
-3
-SIDE ELEV.
INE DI AnE SIGN (BANNER)
SIGNATURE AND DATE
CUSTOMER APPROVAL (PLEASE PRINT FULL NAME)
SIGN IS WIRED FOR 120 VOLTS UNLESS OTHERWISE SPECIFIED
CONSTRUCTION FLOOR PLAN
6'-0™
SIDE A
1-6"
SCALE
QTY: (4)
3/4" = 1'-0"
codes. This includes proper grounding and bonding of the sign.
SIDE B
This sign is intended to be installed in accordance with the requirements of
Article 600 of the current National Electrical Code and/or other applicable local
3131 Pennsy Drive, Landover, MD 20785 / phone [phone removed] / fax [phone removed]
//JackStoneSigns JACKSTONESIGNS.COM
ADDRESS
Cambridge
CUSTOMER CAV Mezze Grill
1/4" 4"x4" BASE PLATES
88 Ames Street, Suite #0124
'C" "A" "A" TO BE PAINTED WHITE
FILE NAME CAVA_Kendall Square MA (PKG2)
INSTALL ON PAINTED ALUMINUM -
BANNER ARMS. APPROX. 3" DIAMETER
DATE
SCALE
SIGN IS WIRED FOR 120 VOLTS UNLESS OTHERWISE SPECIFIED
"V" & STRIPES TO BE PAINTED PMS 137 YELLOW
BLACK SUNBRELLA FABRIC POLE POCKET BANNER-
SEWN-IN POLE POCKETS TOP & BOTTOM (as reqd)
DWG. NO. 7471
DESIGNER HOTZ
NOTED
07/16/18
CONTACT Justin Wyman
Engineers Connection Note:
SIDE VIEW
- Projection arms to be Min. 1/8" wall Alum.
40'-0"
LEVELL
LEVE:0
BLADE SIGN
FOR CONNECTION
BUMPOUT BEYOND
SCALE: 3/16=1'
WALL SECTION - COLUMN
125
0.97
ROUND COLUMN COVER
SEE DETAIL 2, THIS SHEET.
Just Factor
herma: Facto
Snow Loads
Wind Exposure
Wind Loads
Brited for ie in conduction with cris prote are his drawing can be
REQUIRED ELECTRICAL SERVICE TO SIGN LOCATION IS TO BE PROVIDED BY OTHERS
Snow Exposure Factor
Jibmate Desigo wnd speed
Nominal Design Wind Speed
Desigred Per IBC 2015 MA Edition
40 pst
SIGNATURE AND DATE
2 HUMINGBIRU G
Murdoch, PE
cessional Engineer
JERE K.
No. 49706
MURDOCH
REGISTERE
CUSTOMER APPROVAL (PLEASE PRINT FULL NAME)
MURDOCH
PN 1819136
ENGINFERING
CONNCTON TO
TEALTH OF MASSAGE
D/F FACE BANNER
)SETTS
Cava Mezze thill
88 lemes st
10-29-18
OFFICE OF THE CITY CLERK
CAMBRIDGE CITY HALL, 795 MASSACHUSETTS AVENUE
CAMBRIDGE, MASSACHUSETTS 02139
PHONE [phone removed]
FAX [phone removed]
TTY/TDD [phone removed]
PAULA M. CRANE
DONNA P. LOPEZ
DEPUTY CITY CLERK
CITY CLERK
ABUTTERS FORM FOR SIGN/AWNING PERMIT
18-29-18
Date
To Whom It May Concern:
Cambridge,
As Owner of Agent of
90 BROADWAY
of the
_approval
Massachusetts, I do hereby declare my disapproval
installment of:
Canopy over the sidewalk entrance:
Awnings over the windows:
(4) Projecring sign: Sunbrella banner e6'x i'a "to read CAVA.
of said property.
Date
Signed:
Address:
ABUTTERS:
PLEASE COMPLETE FORM WHETHER OR NOT YOU APPROVE OF THE REQUESTED
SIGN/AWNING AND RETURN IT TO THE APPLICANT WITHIN SEVEN (7) DAYS FOR INCLUSION
IN THE APPLICATION.
SIGN/AWNING APPLICANT:
PLEASE FILL IN DATE THAT FORM WAS DELIVERED TO ABUTTER (TOP RIGHT OF THIS
FORM)
appliant: National Negri
2 Prade Way no 01605
Worcester
Cava Mezze thill
88 Ames st
10.29-18
OFFICE OF THE CITY CLERK
CAMBRIDGE CITY HALL, 795 MASSACHUSETTS AVENUE
CAMBRIDGE, MASSACHUSETTS 02139
PHONE [phone removed]
FAX [phone removed]
TTY/TDD [phone removed]
PAULA M. CRANE
DONNA P. LOPEZ
DEPUTY CITY CLERK
CITY CLERK
ABUTTERS FORM FOR SIGN/AWNING PERMIT
10-29-18
Date
To Whom It May Concern:
Cambridge,
As Owner of Agent of
355 Mainst
of the
approval
Massachusetts, I do hereby declare my disapproval
installment of:
Canopy over the sidewalk entrance: _
Awnings over the windows:
(4) Projecting sign: Sunbella banner e6'x 'a "to read CAVA
of said property.
_Date_
Signed:
Address:
ABUTTERS:
PLEASE COMPLETE FORM WHETHER OR NOT YOU APPROVE OF THE REQUESTED
SIGN/AWNING AND RETURN IT TO THE APPLICANT WITHIN SEVEN (7) DAYS FOR INCLUSION
IN THE APPLICATION.
SIGN/AWNING APPLICANT:
PLEASE FILL IN DATE THAT FORM WAS DELIVERED TO ABUTTER (TOP RIGHT OF THIS
roRApplicent: Aational dign
MA 016O5
Worcester
P [phone removed] | F [phone removed]
255 Main Street | 8th Floor | Cambridge, MA 02142 .
CAMBRIDGE
REDEVELOPMENT
cambridgeredevelopment.org
AUTHORITY
August 20, 2018
David Stewart
800 Boylston Street
Suite 1900
Boston, MA 02199
CRA Approval of CAVA signage package for 88 Ames Street
Re:
The proposal for the CAVA signage package for 88 Ames Street falls under Section 5.2 - CRA Board Review of
Preliminary Signage Designs of the MD District Signage Review and Approval Process and Guidelines.
At the 8/8/2018 CRA Board meeting, the Board voted to approve the following motion:
Approving signage package #2 for the conceptual signage proposal for CAVA restaurant at 88
Ames Street on Parcel 4 of the Kendall Square Urban Renewal Area.
Signage Package #2 was approved with the following understandings:
The black vertical banners will be re-sized or their vertical position adjusted to avoid life safety beacons
and cameras already present on the column covers. CRA Staff will be consulted and given an opportunity
to comment on the final distance from the bottom of the banners to the sidewalk grade in order to ensure
people cannot grab it.
- As this is the first signage package approved for the building, the vertical positioning and final dimension
as well as materiality that is chosen for this signage package will be expected to stay consistent with any
other retailers proposing similar projecting signage on the building in the future.
- CRA Board and Staff was assured that tenant leases have a requirement to replace not just patch the
column covers if and when they vacate the building.
In accordance with MD District Signage Review and Approval Process, the proponent should submit 90%
Construction documents to the CRA staff for review and consistency check with this conceptual design approval.
Proponents should notify CRA staff of any design changes that have been made to the signage proposal between
this concept design approval and the 90% construction plan stage.
Please feel free to contact Project Director Jason Zogg should you have any questions at (617) 492-6800x12 or at
[email removed].
Sincerely,
Thomas L. Evans
Executive Director
Cambridge Redevelopment Authority
NATIS-04CL
DPONDER
ACORD:
DATE (MM/DD/YYYY)
CERTIFICATE OF LIABILITY INSURANCE
01/10/2018
THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER. THIS
CERTIFICATE DOES NOT AFFIRMATIVELY OR NEGATIVELY AMEND, EXTEND OR ALTER THE COVERAGE AFFORDED BY THE POLICIES
THIS CERTIFICATE OF INSURANCE DOES NOT CONSTITUTE A CONTRACT BETWEEN THE ISSUING INSURERS), AUTHORIZED
REPRESENTATIVE OR PRODUCER, AND THE CERTIFICATE HOLDER.
IMPORTANT: If the certificate holder is an ADDITIONAL INSURED, the policy(ies) must have ADDITIONAL INSURED provisions or be endorsed.
If SUBROGATION IS WAIVED, subject to the terms and conditions of the policy, certain policies may require an endorsement. A statement on
this certificate does not confer rights to the certificate holder in lieu of such endorsements).
Smith Brothers Insurance, LLC.
No, Ext): [phone removed]
(Nč, No): [phone removed]
Glastonbury, CT 06033
ADRESS: [email removed]
INSURERS) AFFORDING COVERAGE
NAIC #
INSURERA: The Continental Insurance Company
INSURED
35289
INSURER B : All America
20222
National Sign Corporation
INSURER C: Travelers Property Casualty Company of America 25674
780 Four Rod Road
Berlin, CT 06037
INSURER D: Valley Forge Insurance Company
20508
INSURER E:
INSURER F:
COVERAGES
CERTIFICATE NUMBER:
REVISION NUMBER:
ERTIFICATE MAY BE ISSUED OR MAY PERTAIN, THE INSURANCE AFFORDED B
XCLUSIONS AND CONDITIONS OF SUCH POLICIES. LIMITS SHOWN MAY HAVE BEEN REDUCED BOPAID CLAMSED HEREIN IS SUBJECT TO ALL THE TERM
A X COMMERCIAL GENERAL LIABILITY
1,000,000
EACH OCCURRENCE
CLAIMS-MADE X OCCUR
DAMAGE TO RENTEL
[phone removed]
01/19/2018 01/19/2019
300,000
x
PREMISES (Ea occurrence
15,000
MED EXP (Any one person)
1,000,000
PERSONAL & ADV INJURY
GEN'L AGGREGATE LIMIT APPLIES PER:
2,000,000
$
GENERAL AGGREGATE
X LOC
POLICY X SECT
2,000,000
PRODUCTS - COMP/OP AGG S
OTHER:
AUTOMOBILE LIABILITY
1,000,000
LACED SINGLE LIMIT
X ANY AUTO
BAP 9788685
01/19/2018 01/19/2019 BODILY INJURY (Per person).
AUTOS ONLY
BODILY INJURY (Per accident) $
X
X AUTOS ONLY
X UMBRELLA LIAB
X OCCUR
5,000,000
EACH OCCURRENCE
EXCESS LIAB
CLAIMS-MADE
ZUP-14P21895-17-NF
01/19/2018 01/19/2019
5,000,000
AGGREGATE
DED X RETENTIONS
10,000
WORKERS COMPENSATIC
ND EMPLOYERS
LIABILITY
X BEATUTE I
Y/ N
ANY PROPRIETOR/PARTNER/EXECUTIVE
[phone removed]
01/19/2018 01/19/2019
N/ A
500,000
$
E.L. EACH ACCIDENT
(Mandatory IN NE EXCLUDED
If yes, describe under
500,000
E.L. DISEASE - EA EMPLOYEE S
IDESCRIPTION OF OPERATIONS below
500,000
E.L. DISEASE - POLICY LIMIT S
DESCRIPTION OF OPERATIONS/ LOCATIONS/ VEHICLES (ACORD 101, Additional Remarks Schedule, may be attached if more space is required)
CERTIFICATE HOLDER
CANCELLATION
SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE
EATE PROSTONSE WILL BE DELIVERED IN
AUTHORIZED REPRESENTATIVE
ACORD 25 (2016/03)
© 1988-2015 ACORD CORPORATION. All rights reserved.
The ACORD name and logo are registered marks of ACORD
PROPOSAL
/JackStoneSigns
3131 Pennsy Drive
DATE:
9/18/2018
Proposal valid until:
Landover, MD 20785
PAGE: 1 of 2
10/18/2018
[phone removed] phone
[phone removed] fax
BUYER
JOB LOCATION
CAVA Mezze Grill
CAVA-Kendall Square
702 H Street, NW, 2nd Floor,
8 Ames Street, Suite #01:
Washington, DC 20009
ambridge, N
PAYMENT TERMS
DRAWING #
CONTACT
2%, 10/net 30 days. 2% finance charge per mo. after 45 days
7471
Justin Wyman
DEPOSIT DUE:
SCOPE OF WORK
AMOUNT
Fabricate and Install the following:
(2) sets of 24" tall × 4" deep fabricated acrylic LED channel letters top mounted,
hanging from painted aluminum vault. To read, "CAVA".
Install inside of space as shown in drawings and connect to circuit (by others) at
sign location.
(4) 6'-0" tall x 14" wide double-sided, digitally printed vinyl banners with fabricated
and painted aluminum banner arms and support plates.
Install flat against concrete columns as shown in drawings. Banners are
non-illuminated.
Fabrication$4,000.00
Install: $2,000.00
Price includes: Fabrication and Installation:
TOTAL
$
6,000.00
PURCHASER ACCEPTANCE:
If proposal is acceptable, please sign below and return to Jack Stone Sign Co., Inc. This will indicate acceptance of the proposal
and specifications as well as the additional terms on page 2. JSSC will be authorized to perform the scope of work listed above.
Authorized Signature
stole mur
Signature by Jack Stone Sign Co., Inc.
Jack Stone Signs
JUSTNWYMAN AraT
Printed Name
91815
9/6/2018
Date
Date
Building Quality Sighs Since 1934
www.lackstone.net
The Commonwealth of Massachusetts
Department of Industrial Accidents
Office of Investigations
600 Washington Street
Boston, MA 02111
www.mass.gov/dia
Workers' Compensation Insurance Affidavit: Builders/Contractors/Electricians/Plumbers
Applicant Information
Please Print Legibly
Narme (usines orgamizationtaidua): National Sign Corporation
Address:
780 Four Rade Ra.
[phone removed]
Berlin CT
City/State/Zip:
06037
Phone #:
Are you an employer? Check the appropriate box:
Type of project (required):
1. I am a employer with 44
i prop 4: L am a general contacior and i
6. L New construction
have hired the sub-contractors
employees (full and/or part-time).*
listed on the attached sheet.
7. L Remodeling
2.L I am a sole proprietor or partner-
These sub-contractors have
ship and have no employees
8. L Demolition
employees and have workers'
working for me in any capacity.
9. L Building addition
comp. insurance.‡
[No workers' comp. insurance
S. L We are a corporation and its
10. Electrical repairs or additions
required.]
officers have exercised their
3.U
1 am a homeowner doing all work
11.C] Plumbing repairs or additions
right of exemption per MGL
myself. [No workers' comp.
12.LJ Roof repairs
c. 152, §1(4), and we have no
insurance required.]+
employees. [No workers'
13. Other Sign Installation
comp. insurance required.]
*Any applicant that checks box #1 must also fill out the section below showing their workers' compensation policy information.
* Homeowners who submit this affidavit indicating they are doing all work and then hire outside contractors must submit a new affidavit indicating such.
*Contractors that check this box must attached an additional sheet showing the name of the sub-contractors and state whether or not those entities have
I am an employer that is providing workers' compensation insurance for my employees. Below is the policy and job site
information.
Insurance Company Name: Valley Forge Insurance lo (CNA)
509505305
Policy # or Self-ins. Lic. #:_
Expiration Date:
Job Site Address::
88 Ames st.
City/State/Zip:
Attach a copy of the workers' compensation policy deciaration page (showing the policy number and expiration date).
Failure to secure coverage as required under Section 25A of MGL c. 152 can lead to the imposition of criminal penalties of a
fine up to $1,500.00 and/or one-year imprisonment, as well as civil penalties in the form of a STOP WORK ORDER and a fine
of up to $250.00 a day against the violator. Be advised that a copy of this statement may be forwarded to the Office of
Investigations of the DIA for insurance coverage verification.
i do hereby certify under the paus and penalties of perjury that the information provided above is true and correct
Signature:
Heacker Willard
Dare: 4/3/18
[phone removed]
Phone #:
Official use only. Do not write in this area, to be completed by city or town official
City or Town:
Permit/License #
Issuing Authority (circle one):
1. Board of Health 2. Building Department 3. City/Town Clerk 4. Electrical Inspector 5. Plumbing Inspector
6. Other
Contact Person:
Phone #: